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Article: Application of minimally invasive locking compression plate in treatment of proximal humeral fractures

TitleApplication of minimally invasive locking compression plate in treatment of proximal humeral fractures
微創技術植入鎖定加壓鋼板治療肱骨幹近端骨折
Authors
KeywordsMinimally invasive plate osteosynthesis technique (微創接骨板固定技術)
Locking compression plate (鎖定加壓鋼板)
Proximal humeral fracture (肱骨干近端骨折)
Internal fixation (內固定)
Issue Date2009
PublisherZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Bian Ji Bu (中國修復重建外科雜誌編輯部). The Journal's web site is located at http://www.xfcjwkzazhi.cn/oa/
Citation
Journal Of Reparative And Reconstructive Surgery, 2009, v. 23 n. 11, p. 1282-1284 How to Cite?
中國修復重建外科雜誌, 2009, v. 23 n. 11, p. 1282-1284 How to Cite?
AbstractOBJECTIVE: To evaluate the clinical and radiological outcomes of minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) in the treatment of proximal humeral shaft fracture. METHODS: From July 2004 to April 2008, 26 patients with displaced fractures of the proximal humeral shaft were recruited, including 8 males and 18 females. Age of patients averaged 66 years old (range, 34-82 years old). According to AO classification, there were 4 cases of type A1, 2 cases of type A2, 8 cases of type B1, 4 cases of type B2, 2 cases of type B3, 4 cases of type C1 and 2 cases of type C2. The time from injury to surgery averaged 2 days (range, 1-5 days). There were 8 osteoporotic fractures. RESULTS: All surgical wound healed primarily, and there was no wound infection. Three patients had postoperative radial nerve neurapraxia, which recovered at 4, 6, 8 months respectively. All patients were followed up for 6-24 months with an average of 14.1 months. Radiological examination revealed bony union within 6 months in 25 cases. There was 1 delayed union which remained asymptomatic and eventually healed at 8 months with acceptable Constant-Murley score. There were 3 cases of shoulder impingement syndrome diagnosed at 3 months post-operatively. After implant removal, they all achieved an acceptable Constant-Murley score. According to Constant-Murley scoring system, there were 11 excellent, 10 good and 5 acceptable results. The excellent or good rate was 80.8%. CONCLUSION: MIPO technique using LCP is an effective method to treat proximal humeral shaft fractures, which facilitates functional recovery of the shoulder joint. During the surgery, it is important to achieve a good fracture reduction and to avoid complications.
目的總結採用微創接骨板固定(minimally invasive plate osteosynthesis,MIPO)技術植入鎖定加壓鋼板(locking compression plate,LCP)治療肱骨幹近端骨折的臨床效果。方法2004年7月-2008年4月,採用MIPO技術植入LCP治療26例肱骨幹近端1/3移位骨折患者。其中男8例,女18例;年齡34~82歲,平均66歲。骨折按AO分型,A1型4例,A2型2例,B1型8例,B2型4例,B3型2例,C1型4例,C2型2例。合併骨質疏鬆8例。受傷至手術時間1~5d,平均2d。結果術後患者切口均Ⅰ期癒合,無感染等並發癥發生。 3例術後合併橈神經功能性麻痺,分別於術後4、6、8個月自行恢復。 26例均獲隨訪,隨訪時間6~24個月,平均14.1個月。 X線片示25例於術後6個月內骨折達骨性癒合;1例因內固定松動發生延遲癒合,但無臨床癥狀,於術後8個月骨折癒合,功能恢復至可。術後3個月3例發生肩關節撞擊徵,取出內固定行功能鍛煉後功能恢復至可。採用Constant-Murley評分方法評定療效,優11例,良10例,可5例,優良率80.8%。結論採用MIPO技術植入LCP治療肱骨近端骨折是一種合理可行的方法,有利於肩關節早期功能恢復,術中應重視骨折復位和避免並發癥的發生。
Persistent Identifierhttp://hdl.handle.net/10722/170158
ISSN
2015 SCImago Journal Rankings: 0.128

 

DC FieldValueLanguage
dc.contributor.authorLaw, TWen_US
dc.contributor.authorLeung, FKen_US
dc.contributor.authorLu, Yen_US
dc.date.accessioned2012-10-30T06:05:41Z-
dc.date.available2012-10-30T06:05:41Z-
dc.date.issued2009en_US
dc.identifier.citationJournal Of Reparative And Reconstructive Surgery, 2009, v. 23 n. 11, p. 1282-1284en_US
dc.identifier.citation中國修復重建外科雜誌, 2009, v. 23 n. 11, p. 1282-1284-
dc.identifier.issn1002-1892en_US
dc.identifier.urihttp://hdl.handle.net/10722/170158-
dc.description.abstractOBJECTIVE: To evaluate the clinical and radiological outcomes of minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) in the treatment of proximal humeral shaft fracture. METHODS: From July 2004 to April 2008, 26 patients with displaced fractures of the proximal humeral shaft were recruited, including 8 males and 18 females. Age of patients averaged 66 years old (range, 34-82 years old). According to AO classification, there were 4 cases of type A1, 2 cases of type A2, 8 cases of type B1, 4 cases of type B2, 2 cases of type B3, 4 cases of type C1 and 2 cases of type C2. The time from injury to surgery averaged 2 days (range, 1-5 days). There were 8 osteoporotic fractures. RESULTS: All surgical wound healed primarily, and there was no wound infection. Three patients had postoperative radial nerve neurapraxia, which recovered at 4, 6, 8 months respectively. All patients were followed up for 6-24 months with an average of 14.1 months. Radiological examination revealed bony union within 6 months in 25 cases. There was 1 delayed union which remained asymptomatic and eventually healed at 8 months with acceptable Constant-Murley score. There were 3 cases of shoulder impingement syndrome diagnosed at 3 months post-operatively. After implant removal, they all achieved an acceptable Constant-Murley score. According to Constant-Murley scoring system, there were 11 excellent, 10 good and 5 acceptable results. The excellent or good rate was 80.8%. CONCLUSION: MIPO technique using LCP is an effective method to treat proximal humeral shaft fractures, which facilitates functional recovery of the shoulder joint. During the surgery, it is important to achieve a good fracture reduction and to avoid complications.en_US
dc.description.abstract目的總結採用微創接骨板固定(minimally invasive plate osteosynthesis,MIPO)技術植入鎖定加壓鋼板(locking compression plate,LCP)治療肱骨幹近端骨折的臨床效果。方法2004年7月-2008年4月,採用MIPO技術植入LCP治療26例肱骨幹近端1/3移位骨折患者。其中男8例,女18例;年齡34~82歲,平均66歲。骨折按AO分型,A1型4例,A2型2例,B1型8例,B2型4例,B3型2例,C1型4例,C2型2例。合併骨質疏鬆8例。受傷至手術時間1~5d,平均2d。結果術後患者切口均Ⅰ期癒合,無感染等並發癥發生。 3例術後合併橈神經功能性麻痺,分別於術後4、6、8個月自行恢復。 26例均獲隨訪,隨訪時間6~24個月,平均14.1個月。 X線片示25例於術後6個月內骨折達骨性癒合;1例因內固定松動發生延遲癒合,但無臨床癥狀,於術後8個月骨折癒合,功能恢復至可。術後3個月3例發生肩關節撞擊徵,取出內固定行功能鍛煉後功能恢復至可。採用Constant-Murley評分方法評定療效,優11例,良10例,可5例,優良率80.8%。結論採用MIPO技術植入LCP治療肱骨近端骨折是一種合理可行的方法,有利於肩關節早期功能恢復,術中應重視骨折復位和避免並發癥的發生。-
dc.languagechien_US
dc.publisherZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Bian Ji Bu (中國修復重建外科雜誌編輯部). The Journal's web site is located at http://www.xfcjwkzazhi.cn/oa/-
dc.relation.ispartofChinese Journal of Reparative and Reconstructive Surgeryen_US
dc.relation.ispartof中國修復重建外科雜誌-
dc.subjectMinimally invasive plate osteosynthesis technique (微創接骨板固定技術)-
dc.subjectLocking compression plate (鎖定加壓鋼板)-
dc.subjectProximal humeral fracture (肱骨干近端骨折)-
dc.subjectInternal fixation (內固定)-
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshBone Platesen_US
dc.subject.meshFemaleen_US
dc.subject.meshFracture Fixation, Internal - Methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshInternal Fixatorsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshShoulder Fractures - Surgeryen_US
dc.titleApplication of minimally invasive locking compression plate in treatment of proximal humeral fracturesen_US
dc.title微創技術植入鎖定加壓鋼板治療肱骨幹近端骨折-
dc.typeArticleen_US
dc.identifier.emailLeung, FK:klleunga@hku.hken_US
dc.identifier.authorityLeung, FK=rp00297en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid19968162-
dc.identifier.scopuseid_2-s2.0-77950469992en_US
dc.identifier.hkuros171781-
dc.identifier.volume23en_US
dc.identifier.issue11en_US
dc.identifier.spage1282en_US
dc.identifier.epage1284en_US
dc.publisher.placeChina (中國)en_US
dc.identifier.scopusauthoridLaw, TW=35781798800en_US
dc.identifier.scopusauthoridLeung, FK=7103078631en_US
dc.identifier.scopusauthoridLu, Y=35781900400en_US
dc.customcontrol.immutablecsl 150209-

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